NPIMap

Individual provider Active NPI

Sandeep K Thakkar, D.O.

  • Neurology Physician
  • Irvine, CA
National Provider Identifier
1740454586
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20A10840 Issued in CA
Practice address
15775 Laguna Canyon Rd Ste 190
Irvine, CA 92618-7707
Phone
(714) 602-9891
Fax
(714) 912-4181
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20A10840 CA Primary

Addresses

Primary practice location

15775 Laguna Canyon Rd Ste 190
Irvine, CA 92618-7707

Mailing address

15775 Laguna Canyon Rd Ste 190
Irvine, CA 92618-7707
Phone (714) 602-9891

Other identifiers 1

IdentifierTypeStateIssuer
20A108400MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130206000171 CA Practitioner - Neurology 7416134853 Reassigns benefits to 1 organization
Practice locations: Irvine, CA; Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Western University of Health Sciences College of Dental Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sandeep Thakkar DO a Professional CorporationGroup PAC ID 4688019722, 4 clinicians

Practice addresses (Care Compare)

1310 W Stewart Dr
Suite 602
Orange, CA 92868-3857
Phone (714) 602-9891

16405 Sand Canyon Ave
Suite 265
Irvine, CA 92618-3792
Phone (714) 602-9891

520 Superior Ave
Suite 205
Newport Beach, CA 92663-3667
Phone (949) 764-7363

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.91 of 100Reported as individual
Quality
67.65
Improvement activities
40
Cost
61.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sandeep Thakkar DO a Professional Corporation CurrentSince Feb 1, 2024 Accepting new patients
MP Advanced Neurology, Inc. Neurology Current Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
University of California Irvine Past Accepting new patients
Sandeep K. Thakkar, D.O. PastSince Jan 1, 2013 Accepting new patients

Locations

19582 Beach Blvd
Ste 270
Huntington Beach, CA 92648
Phone (714) 232-8833

15775 Laguna Canyon Rd
Ste 190
Irvine, CA 92618
Phone (714) 500-8388

16405 Sand Canyon Ave
Ste 265
Irvine, CA 92618
Phone (714) 602-9891

510 Superior Ave
Ste 200A
Newport Beach, CA 92663
Phone (949) 764-7363

520 Superior Ave
Ste 205
Newport Beach, CA 92663
Phone (949) 650-2462

1310 W Stewart Dr
Ste 602
Orange, CA 92868
Phone (714) 602-9891

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1740454586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD STE 190",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187707",
            "telephone_number": "714-602-9891",
            "fax_number": "714-912-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD STE 190",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187707",
            "telephone_number": "714-602-9891",
            "fax_number": "714-912-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "SANDEEP",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A10840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20A108400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.